PMDC Step II Exam SEQs : 13th May, 2012 by DOW university

PMDC Step II Exam SEQs : 13th May, 2012
Each question contains 10 Marks.

1. i. What are some common psychiatric problems in Pakistan?
ii. How would you manage them?

2. i. What is the effect of stress on physical and psycosocial health of a person?
ii. Give non-pharmacological interventions for reducing stress.


3. A 25 years obese lady has come to you with blood sugar of 160mg/dl.
i. What further lab tests would you advice her?
ii. What advice will you give her about diet and exercise?
iii. What drugs can be prescribed according to the priority?


4. A 14 years old boy has come to you from Lahore with history of fever, malaise, generalized weakness and body ache. He has a purple rash on the shoulder. Anemia and Jaundice are negative. No hepatosplenomegaly. Platelets: 80000/ul. TLC: 23000/ul.
i. What are the differential diagnosis?
ii. What further investigation would you advice?
iii. How would you manage the patient?


5. A lady has come to you with history of a breast lump, which is 1.5 cm. The lump is movable and not fixed.
i. Write two differential diagnosis.
ii. How will you manage her?
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6. A 55 years old man with history of anuria for 16 hours, has come to you. On examination, the bladder is palpable.
i. What is the diagnosis?
ii. What further clinical examinations will you do?
iii. What are the drugs prescribed to him for this condition.


7. A 25 years old girl has come with history of papules and comedones on her face and back of shoulder. There is no telangiectasia.
i. What is the diagnosis.
ii. What is the pathogenesis and precipitating factors for this disease?
iii. How will you treat this condition?


8. A 6 years old child has come with history of pain and redness in his left eye. There is also stickness in the eye.
i. What are the differential diagnosis for this condition.
ii. What is the diagnosis?
iii. How will you give treatment?


9. A young boy has come to you with 3 years history of alternating nasal obstruction, itching in the nose, watery discharge from nose and sneezing, specially in the winters. Give a detail management for the patient.


10. i. Write the schedule of immunization programme in Pakistan according to EPI, in a chart form.
ii. How can you prevent poliomyelitis in our country according to latest interventions?


11. A 4 years old female child has come with vomiting and diarrhea for 3 days. There is also mucus and blood in the stool.
i. What is the diagnosis?
ii. What futher questions will you ask in the history?
iii. Name the organism involved.
iv. What is the best antibiotic to treat her?


12. A 25 years old lady has come with her husband to your clinic. She has not been ableto achieve pregnancy.
i. Write 3 common causes of infertility.
ii. Name 3 investigations useful to know the cause.
iii. What drugs can be prescribed to her to help conception?


13. A young lady with 8 weeks pregnancy has come with lower abdominal pain and bleeding per vaginum.
i. How will you investigate a case of ectopic pregnancy?
ii. What are the methods to deal with it?


14. A man has come with a history of stab on left chest. His BP is 100/70, RR 30/min, tachycardia and silent left sided chest. Neck veins are ******.
i. What is the diagnosis?
ii. What immediate investigation will you perform?
iii. Give the management plan.


15. A boy has come to you with severe dyspnea and wheezing. He is cyanosed and have history of dyspnea and wheezing in the past. He is also having tacchycardia.
i. Write down the immediate management of this patient.
ii. What lab investigations will you perform?
iii. Give the management plan for the future.
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i guess it was a well balanced paper..n asking basic things...
fingers crossed for the result...

 

can anyone tell what was the answer of q no 14....it is cardiac tamponade or pneumothorax?? ....and also what was the answer of q no 6??

 

Q. 14: Pneumothorax

Q. 6: Benign prostatic hyperplasia

 

thanks...xavier

 

thanks!

 

i think its pneumothorax

 

8. A 6 years old child has come with history of pain and redness in his left eye. There is also stickness in the eye.
i. What are the differential diagnosis for this condition.
ii. What is the diagnosis?
iii. How will you give treatment?

According to the question, if the answer is CONJUCTIVITS, it may be wrong, because in CONJUNCTIVITS involves both eyes. Plus the redness is unilateral. So I want to ask what is the correct diagnosis of this question. Will be thankful to you.

 

ANY ONE PLEASE UPLOAD ALL THE DIAGNOSIS OF THE CASE SCENARIOS, IT WILL BE HIGHLY APPRECIATED FOR THOSE WHO ARE APPEARING IN STEP II.
IT IS A REQUEST FOR EVERYONE WHO KNOWS THE DIAGNOSIS OF ALL THE CASE SCENARIOS.
YOUR EARLY RESPONSE IS REQUIRED & WILL BE APPRECIATED.
THANKS.

 

the answer is Bacterial Conjuctivitis. It usually involves both eyes but not always. Sometimes it starts in one eye and then infect the other eye after 1~2 days. Plus there is stickness in the eye which gives a clue about bac. conjuctivitis.
Kindly let us know what u think should be the answer...and then we can have a little chit chat which will definitely be helpful for other students.